From the monthly archives:

December 2007

What does Jay have up his sleeve?

December 31, 2007

Keep your eye on this guy…

If you live in NYC, keep your eye on property in or around Union Square, Soho, the West Village, or the Flatiron District. Something revolutionary will begin to take shape. Think the Apple Store, FedEx, Toyota Lean, Eugene Debs, 1984, The Fountainhead, Experience Design, continuous quality improvement, iPhones, [...]

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How to Care for the World’s Poor

December 31, 2007

A group of intellectuals concluded that the most effective way to provide medical care to the worlds poor is to…
“If we train village health workers, and make sure they’re compensated,” he said, “then the resources intended for the world’s poorest–from vaccines, to bed nets, to prenatal care, and to care for chronic diseases like AIDS [...]

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Near & Dear To My Heart

December 30, 2007

At Graham’s request, I’ll change subjects for a moment to something near and dear to my heart, Down Syndrome. If you’re looking for a good cause to support, try buying a book for the young ones in your life.
When Stephen wrote this book he was 11 years old. William was 6 years old and [...]

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Consumers Holding Down Health Care Inflation

December 30, 2007

No one spends your money quite as well as you do…
(hat tip: HCBS)

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The Curse of Knowledge

December 30, 2007

Just how well do we physicians communicate with our patients? Are they understanding nearly as much as we think? Are we cursed with knowledge?
(hat tip: Jay Parkinson MD)

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Death By A Thousand Cuts

December 30, 2007

Is a mass hospital closure crisis looming?
A recent HANYS analysis of hospital financial data found that more than half of the state’s hospitals lost money or recorded margins of less than 1% in 2006.
(hat tip: More than Medicine)

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Volume. Volume. Volume.

December 30, 2007

It’s no secret why medical students avoid primary care like the plague…

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Aetna to End Payment for a Drug in Colonoscopies

December 28, 2007

Talk about a pain in the rear (bad pun intended)…

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Unstoppable Market Forces

December 28, 2007

As long as traditional medical practices produce disgruntled, unsatisfied customers, retail clinics will continue to see explosive growth.

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Top 12 Trends for Physicians in 2008

December 28, 2007

Dr. Reece blogs about his predictions for physicians in ‘08…
6. Physician Empowerment - Doctors are re-awakening to the reality they hold the key to effective, efficient, and safe healthcare. They’re asserting themselves through legislative efforts to reduce malpractice costs, state medical societies curtailing health plan abuses, social online networking in sites like Sermo, and health [...]

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Retired Doc is Beginning to Believe

December 28, 2007

The snowball grows as more people begin to believe in direct medical practices…

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Paying for Arnoldcare

December 28, 2007

The California Hospital Association is tightening their own noose as they support a 4% hospital tax to pay for Arnoldcare…
CHA leadership has apparently convinced itself that the same bureaucrats who crippled California hospitals by underfunding Medi-Cal are going to change their stripes under Arnoldcare. They actually seem to believe that all of the revenue generated [...]

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Courts Overturns Key Part of San Fransisco’s Universal Coverage

December 27, 2007

Universal health care hits a speed bump in San Fransisco…

Judge White ruled that the employer assessment violates the federal ERISA law (Employee Retirement Income Security Act of 1974) which, among other things, prohibits state and local governments from mandating that employers must provide health insurance to their workers. ERISA was the federal law cited by [...]

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FAQ: Won’t Retainer Medicine Exacerbate Physician Shortages?

December 27, 2007

This is a fair question that is commonly asked and, on its face, makes perfect sense: more doctors seeing fewer patients = physician shortage. It is my opinion that the direct medical practices will not only avoid a worsening physician crisis, but drastically increase access to and affordability of health care.

Retention of older [...]

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90% Reduction in Hospital Admissions

December 27, 2007

MDVIP is the largest and most organized company practice wide scale retainer medicine today. Their business model is fee for non-covered services, which basically means that the retainer fee is for additional care, not covered by CMS, but Medicare is still billed when appropriate.
One of the common arguments against direct medical practices is the [...]

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